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Jenessa Stiles, AUD

NPI 1073035820 · on the registry since 2017 · sole proprietor

Practice

Address
871 Beaver Drive
Dubois, PA 15801
Phone
(814) 375-0455
Fax
(814) 375-2721

Additional practice sites

  • 100 Schuylkill Medical Plz Ste 203, Pottsville, PA

Registry record

Primary taxonomy
231H00000X
231H00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania